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WP0043867
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043867
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Entry Properties
Last modified
5/29/2024 4:45:55 PM
Creation date
5/2/2023 2:11:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043867
PE
4370
STREET_NUMBER
11253
Direction
E
STREET_NAME
SOUTHLAND
STREET_TYPE
RD
City
MANTECA
Zip
95336-
APN
20805011
ENTERED_DATE
9/30/2022 12:00:00 AM
SITE_LOCATION
11253 E SOUTHLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CHAIN OF-CUSTODY <br /> Special www.fgUnc.com <br /> Laboratory Copy (1 of 2) <br /> 35730:11/01/2023 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 <br /> Arm:Scott Sanglaang <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 3 a <br /> Phone: (209)468-3452 Fax: * Ell <br /> x <br /> Contact Person: Scott Sangalang A <br /> a <br /> Project Name: `1 Z,S3 .S c7 w o x <br /> y✓1! v� CCG'C <br /> Purchase Order Number: cts <br /> Quote Number: ST 20160309-01 N r>1 <br /> 8 F <br /> Sampler(s)Il e4-vcx L O fc c z T D A <br /> O <br /> * <br /> 00 o O �y a0 ° W <br /> Sampling Fee: Pickup Fee: ;, ° 5R U, e a <br /> Compositor Setup Date:_/_/ Time: !_ E Q x O z O v z b E <br /> I Q0 E o va o.. e z u. A E- <br /> !Lab Number: STK �45 3-17919 0a T v U a u a c <br /> c o v F aO Q <br /> Samp Date Time •E d <br /> Location Description -S '°o o b5 <br /> Num Sampled Sampled 7kn xa izN <br /> b <br /> ii. <br /> 1 UAetl V1ec«c► t-1 1.3c" ttKp G r)W 1 I,I Z.(0 ` w ttz - <br /> 6CS 51117-V <br /> /z 3iz <br /> Comorate Offices&Laboratory Office&Laboratory_ Office&Laboratory_ Office&Laboratory_ Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road- 563 E.Lindo 3442 Empresa Drive,Suite D 9411 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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